Millions of Canadians are currently living with chronic health conditions such as diabetes, heart disease or chronic respiratory disease, and billions of Canadian Health Care dollars and countless resources are currently being used to treat them.
As these conditions become more common, so too does the burden on the Canadian health care system. Chronic conditions pose a significant treatment challenge as there is no actual cure. There are, however, ways to manage and prevent some of the serious complications of these diseases; one of the most effective methods is self-management.
Research shows people who self-manage, report less fatigue, shortness of breath, and pain associated with their condition. In addition, self-managers have fewer emergency room visits and spend fewer days in hospitals.
When self-managing, the person living with the chronic condition becomes the leader of their health care team; they are more involved in making treatment decisions and working with their health care provider(s) to develop the best possible strategy for them. So, how does one become a good self-manager?
Become the leader of your health care team. Think of your doctor and other health care providers as your expert health advisors. Based on the information you provide, their expertise will allow them to make recommendations for how to best manage your condition, but it’s up to you whether or not you follow the recommendation. If you have questions about a recommendation, ask them. If you are unable, or don’t want to carry out the recommendation, let your health care provider know so they can explain their reasoning, or revise their recommendation to make it more acceptable. In self-management it’s all about what works for you.
Stay informed about your condition, and keep health care providers informed about your condition. Keep track of symptoms and what causes them to improve or worsen. Keep track of which provider recommended what treatment, and why. Ask questions. Carry a medication list with you and inform other health care providers of any changes in treatment.
Give yourself permission to ask for what you need, and set limits. This could be from family, friends or even work.
Most people are perfectly willing to accommodate small requests to help you out. It might be something as small as asking a spouse to watch the children, so you can go for a walk; or the person responsible for preparing meals to add less salt; or even communicating to your employer why you may need to sit down periodically.
If you are looking for information, or want to enhance your self-management skills, check out www.wwselfmanagement.ca for a workshop in your area.
For more information about any of the free services offered by your local Family Health Team ask your doctor or nurse practitioner, visit the website www.afhto.ca or google “family health team locations” for living tips and information on upcoming programs and events.
Maggie Armstrong is a dietitian with the East Wellington FHT.
